Individual provider Active NPI

Corrine Renne, DPM

  • Foot Surgery Podiatrist
  • Franklin Square, NY
National Provider Identifier
1740456169
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N006262 Issued in NY
Practice address
397 Franklin Ave
Franklin Square, NY 11010
Phone
(516) 233-1919
Fax
(516) 977-5137
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N006262 NY Primary

Addresses

Primary practice location

397 Franklin Ave
Franklin Square, NY 11010

Mailing address

397 Franklin Ave
Franklin Square, NY 11010-1227
Phone (516) 233-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120409000113 NY Practitioner - Podiatry 6507991684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laurence D Landau DPM PCGroup PAC ID 4486780384, 3 clinicians

Practice addresses (Care Compare)

4333 Merrick Rd
Massapequa, NY 11758-6001
Phone (516) 541-1591

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions241
Removal of nail tissue731
Removal or shaving of skin growth294
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006262NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Laurence D Landau DPM PC Foot Surgery CurrentSince Sep 1, 2014 Accepting new patients

Locations

397 Franklin Ave
Franklin Square, NY 11010
Phone (516) 470-0996

4333 Merrick Rd
Massapequa, NY 11758
Phone (516) 398-3836

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: crenne66911@direct-chsli.net
  • Direct secure messaging: corrinerenne@ldldp-ny.direct.office.nextgen.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1740456169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 FRANKLIN AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110101227",
            "telephone_number": "516-233-1919",
            "fax_number": "516-977-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 FRANKLIN AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "11010",
            "telephone_number": "516-233-1919",
            "fax_number": "516-977-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNE",
        "first_name": "CORRINE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Square, NY

Sources for this page

Verify at the official NPI Registry.